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		<div class="um-page" id="index">
			<div class="um-header" >
				<a href="#" class="um-back" id="applyBack"> 返回</a>
				<h3>饲料申请</h3>
				<a href="#" class="um-header-right ti-home"></a>
			</div>
			<div class="um-content" style="background-color: #EFEFF4">
				  <ul class="um-list" style="top: 15px" >
                <li>
                    <div class="um-list-item">
                        <div class="um-list-item-inner">
                            
                            <div class="um-list-item-left" >
                                鸡场：
                            </div>
                            <div class="um-list-item-right">
                                <input type="text" class="form-control"id="hennery_name" disabled="true" placeholder="请输入鸡场名称">
                            </div>
                        </div>
                    </div>
                </li>
                <li>
                    <div class="um-list-item">
                        <div class="um-list-item-inner">
                            <div class="um-list-item-left">
                                料塔：
                            </div>
                            <div class="um-list-item-right">
                                <input type="text" class="form-control"id="silo_name" disabled="true" placeholder="请输入料塔编号">
                            </div>
                        </div>
                    </div>
                </li>
                <li>
                    <div class="um-list-item">
                        <div class="um-list-item-inner">
                            <div class="um-list-item-left">
                                批次号：
                            </div>
                            <div class="um-list-item-right">
                                <input type="text" class="form-control"id="pknum" disabled="true" placeholder="请输入批次号">
                            </div>
                        </div>
                    </div>
                </li>
                
                <li>
                    <div class="um-list-item">
                        <div class="um-list-item-inner">
                           
                            <div class="um-list-item-left">
                                日龄：
                            </div>
                            <div class="um-list-item-right">
                                <input type="text" class="form-control"id="days" disabled="true" placeholder="5天">
                            </div>
                        </div>
                    </div>
                </li>
                <li>
                    <div class="um-list-item">
                        <div class="um-list-item-inner">
                            <div class="um-list-item-left">
                                下单日期：
                            </div>
                            <div class="um-list-item-right">
                                <input type="date" name="date"id="creationtime" value="2016-11-01"  disabled="true"class="form-control">
                            </div>
                        </div>
                    </div>
                </li>
                <li>
                    <div class="um-list-item">
                        <div class="um-list-item-inner">
                        <span class="h pa um-box-vc um-red f20" style="margin-left:-10px;">*</span>
                            <div class="um-list-item-left">
                                饲料类别：
                            </div>
                            <div class="um-list-item-right" style="text-align: start">
                               	<select id='feed_type_name'class="inputdisable">
				            		<option>-请选择料号-</option>
				            		<option datavalue="code">料号1</option>
				            		<option>料号2</option>
				            		<option>料号3</option>
				            		<option>料号4</option>
				            		<option>料号5</option>
				            	</select>
                            </div>
                        </div>
                    </div>
                </li>
                <li>
                    <div class="um-list-item">
                        <div class="um-list-item-inner">
                            <span class="h pa um-box-vc um-red f20" style="margin-left:-10px;">*</span>
                            <div class="um-list-item-left">
                                数量：
                            </div>
                            <div class="um-list-item-right">
                                <input type="text" class="form-control inputdisable"id="feed_num" placeholder="请输入申请数量">
                            </div>
                        </div>
                    </div>
                </li>
                
                <li>
                    <div class="um-list-item">
                        <div class="um-list-item-inner">
                           
                            <div class="um-list-item-left">
                                备注：
                            </div>
                            <div class="um-list-item-right">
                                <input type="text" class="form-control inputdisable"id="memo" placeholder="请填写备注">
                            </div>
                        </div>
                    </div>
                </li>       
            </ul>
          

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